Computer-Administered Screening of Reproductive-Aged Women for Diabetes Risk in Primary Care Settings, Feasibility and Acceptability of Such Screening, and Validity of Risk Assessments Based on Self-reported Weight
2007

Screening Women for Diabetes Risk Using Computers

Sample size: 231 publication Evidence: moderate

Author Information

Author(s): McNutt Louise-Anne, Hussain Shazia, Taylor Martina, Waltermaurer Eve, McCauley Jeanne, Ford Daniel E, Campbell Jacquelyn C

Primary Institution: State University of New York at Albany, School of Public Health

Hypothesis

Can technology streamline diabetes risk assessment and improve patient education during primary care visits?

Conclusion

Self-reported weight does not significantly bias diabetes risk estimates, allowing for effective personalized education and counseling.

Supporting Evidence

  • 93.9% sensitivity for high diabetes risk using self-reported weight.
  • 97.8% specificity for any diabetes risk using self-reported weight.
  • About half of the women discussed nutrition and exercise with their providers.

Takeaway

The study found that using computers to ask women about their health can help doctors give better advice about diabetes without taking up too much time.

Methodology

Women aged 18-44 completed a computer questionnaire about their health, and their self-reported weights were compared to scale-measured weights.

Potential Biases

Self-reported weights were often understated, particularly among obese women, but this had limited effect on risk classification.

Limitations

The study could not determine the response rate due to HIPAA restrictions and did not include pregnant women.

Participant Demographics

Most participants were African American, younger than 35 years, and had at least a high school education.

Statistical Information

Confidence Interval

95% CI, 85.2%–97.6%

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